目的　观察心包留置导管引流大量心包积液的作用和疗效。方法　 2 4例大量心包积液病例用 18G静脉穿刺针行心包穿刺置入导管引流 2 6例 ,经导管对结核性、化脓性、肿瘤性的大量心包积液彻底引流 ,反复冲洗 ,注入药物。结果　除 1例于 6月后出现心包缩窄外 ,余未出现严重并发症。结论　大量心包积液心包留置导管引流 ,减少了患者的痛苦 ,并避免了反复穿刺的危险性 Objective To observe the effect and curative effect of pericardial drainage by pericardial catheterization. Methods Twenty-four patients with massive pericardial effusion were treated by catheterization with 18G venipuncture needle and 26 cases of catheter drainage. The catheter was used to draining the massive pericardial effusion of tuberculous, purulent and neoplastic nature and repeatedly washing and injecting drugs. Results except for one case in June after the occurrence of pericardial narrowing, I did not appear serious complications. Conclusion A large amount of pericardial effusion pericardial catheter drainage, reducing the patient’s pain, and to avoid the risk of repeated puncture